PATRICK P MASTROIANNI (Credential# 156851) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PATRICK P MASTROIANNI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015670. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 2890 Main St Ste D, Stratford, CT 06614-4980. The current status is active.
| Licensee Name | PATRICK P MASTROIANNI |
| Credential ID | 156851 |
| Credential Number | CSP.0015670 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2890 Main St Ste D Stratford CT 06614-4980 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 544787 | 1.023870 | Physician/Surgeon | 1982-09-01 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 2890 MAIN ST STE D |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-4980 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael E Opalak | 2890 Main St Ste D, Stratford, CT 06614-4980 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew Bedford Md | 2890 Main St, Stratford, CT 06614-4980 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lucy Ann Salieb Shamberg | 2890 Main St, Stratford, CT 06614-4980 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregory N Soloway | 2890 Main St, Stratford, CT 06614-4980 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Marie Minaudo | 80 Barrows Ter, Stratford, CT 06614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Constance Greene | 65 Pamela Drive, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Courtney M Blaze | 90 Mercer Street, Stratford, CT 06614 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
| William E Rosner Md | 81 B Seminole Lane, Stratford, CT 06614 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Demetrius I Mcqueen | 60 Emerald Pl, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Alan Goldberg | 1825 Barnum Ave, Stratford, CT 06614 | Dentist | 2020-09-01 ~ 2021-08-31 |
| Kimberly L Matakevich | 1367 Nichols Avenue, Stratford, CT 06614 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Marybeth Nemergut | 990 Chapel St, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Geraldine C Corry | 135 Wigwam Lane, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kathleen Sajgovic | 300 Post Oak Rd, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06614 | |||
| City | STRATFORD |
| Zip Code | 06614 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STRATFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Mastroianni | 105 Wesley Dr, Shelton, CT 06484-5248 | Controlled Substance Registration for Practitioner | ~ |
| Vivian Mastroianni Pa | 60 Woodland Ln, Woodbury, CT 06798-2513 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicholas Mastroianni | 151 Arbor Crst, Somers, NY 10589-1809 | Controlled Substance Registration for Practitioner | 2019-07-29 ~ 2021-02-28 |
| Patrick Koo | 22 Church Ter, Newington, CT 06111-5550 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Patrick K Fox | 168 Fairview Rd, Westbrook, CT 06498 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Patrick Brew | Po Box 266, Bridgewater, CT 06752-0266 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patrick T Campbell | 594 Farmington Ave, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Patrick Mcauliffe | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Timothy A Lincoln | 163 Patrick Dr, Berlin, CT 06037-4058 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patrick C Malloy Md | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | Controlled Substance Registration for Practitioner | 2015-09-08 ~ 2017-02-28 |
Please comment or provide details below to improve the information on PATRICK P MASTROIANNI.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).